<!-- $Id: user_account_info.htm 14216 2008-03-10 02:27:21Z testyang $ -->
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<base href="__STATIC__/admin/" />
<title>ECSHOP 管理中心 - 添加申请 </title>
<meta name="robots" content="noindex, nofollow">
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<link href="styles/general.css" rel="stylesheet" type="text/css" />
<link href="styles/main.css" rel="stylesheet" type="text/css" />

<style>
  .panel-icloud .panel-right iframe {
    height: 300px;
    margin-top: 15px;
  }
  .panel-hint{
    top: 3%;
  }
</style>


</head>
<body>
<h1>
  	<span class="action-span"><a href="user_account.php?act=list">充值和提现申请</a></span>

<span class="action-span1"><a href="index.php?act=main">ECSHOP 管理中心</a> </span><span id="search_id" class="action-span1"> &nbsp;&nbsp;&nbsp;&nbsp; 添加申请 </span>
<div style="clear:both"></div>
</h1>
  <form action="{:url('Member/add_apply_do')}" method="post" name="theForm" onsubmit="return validate()">
    <table width="100%">
      <tr>
        <td class="label">会员名称：</td>
        <td>
          <input type="text" name="user_id" value="" size="20"
          />
        </td>
      </tr>
      <tr>
        <td class="label">金额：</td>
        <td>
          <input type="text" name="amount" value="" size="20"
          />
        </td>
      </tr>
      <tr>
        <td class="label">支付方式：</td>
        <td>
          <select name="payment" > 
          <option value="">请选择...</option>
          {volist name="apply" id="vo"}
           <option value="{$vo.pay_id}">{$vo.pay_name}</option>
          {/volist}
          </select>
        </td>
        </td>
      </tr>
      <tr>
        <td class="label">类型：</td>
        <td>
          <input type="radio" name="process_type" value="0"
           checked="true"   />充值          <input type="radio" name="process_type" value="1"
            />提现                  </td>
      </tr>
      <tr>
        <td class="label">管理员备注：</td>
        <td>
          <textarea name="admin_note" cols="55" rows="3"></textarea>
        </td>
      </tr>
      <tr>
        <td class="label">会员描述：</td>
        <td>
          <textarea name="user_note" cols="55" rows="3"></textarea>
        </td>
      </tr>
      <tr>
        <td class="label">到款状态：</td>
        <td>
          <input type="radio" name="is_paid" value="0"
           checked="true" />未确认          <input type="radio" name="is_paid" value="1"
           />已完成          <input type="radio" name="is_paid" value="2"
           />取消        </td>
      </tr>
      <tr>
        <td class="label">&nbsp;</td>
        <td>
          <input type="submit" value=" 确定 " class="button" />
          <input type="reset" value=" 重置 " class="button" />
        </td>
      </tr>
    </table>
  </form>
</div>

</body>
</html>